MR. ROGER D BENNETT I (NPI# 1285716704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285716704 |
| Entity Type | Individual |
| Full Name | MR. ROGER D BENNETT I |
| Credential | L.A.C. |
| Practice Address |
2495 Shreveport Hwy Alexandria LA 71306-9004 |
| Mailing Address |
Po Box 69004 Alexandria LA 71306-9004 |
| Practice Telephone | 3184730010 |
| Practice Fax Number | 3184835176 |
| Mailing Telephone | 3184730010 |
| Mailing Fax Number | 3184835176 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
635 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | ADDICTION SPECALIST | 3499 | 01 |
| LA | LICENSEADICTIONCOUNSELOR | 635 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447227806 | Roger Lee Bennett | Military Health Care Provider | 83 Meadow Rd, Frostburg, MD 21532-2313 | 2006-03-03 |
| Street Address |
2495 SHREVEPORT HWY |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71306-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336459569 | Chandra Turner | Social Worker | 2495 Shreveport Hwy, Highway 71 North, Alexandria, LA 71306-9004 | 2010-10-21 |
| 1528204534 | Mckenzie Nichole Gauthier | Social Worker | 2495 Shreveport Hwy, Alexandria, LA 71306-9004 | 2008-12-22 |
| 1043395445 | Max Magdaleno | Rehabilitation Practitioner | 2495 Shreveport Hwy, Dep't of Veteran's Affair, Alexandria, LA 71306-9004 | 2006-10-25 |
| 1285719732 | Mary Jane May | Physical Therapist | 2495 Shreveport Hwy, Alexandria, LA 71306-9004 | 2006-10-25 |
| 1578653614 | Lowell G Busch | Dentist | 2495 Shreveport Hwy, Alexandria, LA 71306-9004 | 2006-10-12 |
| 1215022686 | Robert Moore Butler Jr. | Podiatrist | 2495 Shreveport Hwy, Va Medical Center, Alexandria, LA 71306-9004 | 2006-10-03 |
| 1225145709 | Sharon Coleman | Nurse Practitioner | 2495 Shreveport Hwy, Alexandria, LA 71301 | 2006-08-23 |
| 1689627333 | Linda Heiman | Social Worker | 2495 Shreveport Hwy, Alexandria, LA 71306-9904 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306023395 | Mary E Severance | Licensed Practical Nurse | 242 Shamrock St, Red River Addictions Complex, Pineville, LA 71306 | 2008-01-22 |
| 1699951020 | Amany Youssef Hegazy | Pharmacist | Pineville, Alexandria, LA 71306 | 2008-01-16 |
| 1083718159 | Vicky Dianne Wall | Nurse Practitioner | Dept. of Veterans Affairs Medical Center, Shreveport Hwy, Alexandria, LA 71306 | 2006-09-11 |
| 1346343621 | Kathy Ann Brieger | Licensed Practical Nurse | Unit 6, Meadow Lane, Rrtc Central State Hospital, Pineville, LA 71306 | 2006-09-05 |
| 1760585046 | Shabbir F Khambatti | Internal Medicine | Veteran Adm Medical Center, Medical Service, Alexandria, LA 71306 | 2006-09-05 |
| 1790759660 | Frankie V Carver | Nurse Practitioner | 2495 Hwy 71, Va Medical Center, Alexandria, LA 71306 | 2006-02-15 |
| 1154569333 | Jean Marie Ordoyne | Social Worker | 2495 Shreveport Hwy 71 North, Alexandria, LA 71306 | 2009-01-27 |
| 1588800585 | Stacy Susanne Nolan | Social Worker | 2495 Shreveport Hwy 71 North, Alexandria, LA 71306 | 2008-12-22 |
| 1407932437 | Shivani Negi | Internal Medicine | 2495 Shreveport Highway, Alexandria, LA 71306 | 2006-10-31 |
| 1104901008 | Cheryl B Moreau | Occupational Therapist | 2495 Shreveport Highway, Alexandria, LA 71306 | 2006-10-26 |
| Find all providers in zip 71306 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278311 | Abeba Fekade | Counselor | 2800 Eisenhower Ave Ste 210, Alexandria, VA 22314-4587 | 2020-08-31 |
| 1194239095 | Cindy Joann Bjerkaas | Counselor | 909 Broadway St, Alexandria, MN 56308-1813 | 2017-11-30 |
| 1134659956 | Candace Lynne Blood | Counselor | 5505 John Eskew Dr, Alexandria, LA 71303-3725 | 2017-06-14 |
| 1619424850 | Tamara May | Counselor | 3600 Government St, Alexandria, LA 71302-3324 | 2016-09-06 |
| 1477909455 | Janice Petty | Counselor | 4660 Kenmore Ave Ste 701, Alexandria, VA 22304-1306 | 2016-05-10 |
| 1255797965 | Charles King | Counselor | 3746 Government St Ste 8, Alexandria, LA 71302-3252 | 2016-01-11 |
| 1437525805 | Jennifer Riche | Counselor | 109 Yorktown Dr Ste A, Alexandria, LA 71303 | 2015-08-19 |
| 1861876617 | Sharon Elizabeth Spencer-rose | Counselor | 5801 Joyce St, Alexandria, LA 71302-2510 | 2015-07-10 |
| 1962880666 | Comfort Folarin | Counselor | 5615 Jackson St, Suite D, Alexandria, LA 71303-2326 | 2015-05-13 |
| 1740682608 | Yvonne Williams | Counselor | 20 S Quaker Ln, Suite 210, Alexandria, VA 22314-4583 | 2014-09-23 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71306 |
Please comment or provide details below to improve the information on MR. ROGER D BENNETT I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.